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Prischmann Facial Plastic Surgery
5201 Eden Avenue, Suite 170
Edina, MN 55436
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Eyelid Surgery

Eyelid lift, or blepharoplasty, can refer to the upper or lower eyelid.

Upper Eyelid Blepharoplasty

Who is a good candidate?

  • Loose or excess skin of the upper eyelid
  • Puffiness of the upper eyelid
  • Reasonable expectations

The best candidates are healthy and don’t have active eye problems.

How is the surgery performed?

Upper eyelid lift is performed in an operating room under mild sedation. The procedure takes 30-45 minutes. The incisions are planned to remove excess skin and heal in the natural eyelid crease. Stitches are placed on the outside and removed on day 5 to 7 after surgery.

What is the recovery?

There are two types of downtime associated with upper eyelid lift: overall downtime and “visual” downtime. Overall downtime (time away from work) is about 5-7 days. You will have bruising and swelling for a couple of weeks after surgery. Visual downtime refers to the time that you can expect your vision to be blurry. This is about one week after surgery, but can be longer. In most cases, you can expect to resume wearing contacts and eye makeup in 2-3 weeks.

The recovery times can be longer if the upper and lower eyelids are performed at the same time.

Lower Eyelid Blepharoplasty

There are two main approaches for lower eyelid lift. In young patients, or patients with puffy eyelids only, the surgery is performed on the inside of the eyelid (called “the transconjunctival approach”).

In older patients, or patients with loose skin of the lower eyelid, the surgery is performed with a small incision underneath the lashline.

Who is a good candidate?

  • Loose or excess skin of the lower eyelid
  • Puffy appearance to the lower eyelid
  • Do not have problems with dry eyes
  • Can be away from computer work or texting for at least one week after surgery
  • Reasonable expectations

The best candidates are healthy and don’t have active eye problems.

How is the surgery performed?

Similar to upper eyelid lift, lower eyelid surgery is performed in an operating room under mild sedation. During your consultation, Dr. Prischmann will determine which surgical approach will give you the best results. The procedure takes about 45-60 minutes.

The transconjunctival approach is performed entirely through a small incision on the inside of the eyelid. This approach is best suited for patients who only need correction of puffiness and herniating fat. Usually, sutures are not necessary.

The external approach is performed through a small incision under the lashline. This approach is best suited for patients who have excess skin and/or puffiness. One or two internal sutures are placed. External sutures are removed in 7 days.

What is the recovery?

There are two types of downtime associated with lower eyelid lift: overall downtime and “visual” downtime. It is important to note that recovery following the transconjunctival approach is usually quicker than the external approach. Overall downtime (time away from work) is about 10-14 days. You will have bruising and swelling for about 3-4 weeks. Visual downtime refers to the time that you can expect your vision to be blurry. This is about two weeks after surgery, but can be up to six weeks. Visual downtime after lower eyelid lift will affect computer use and texting ability.

Schedule a Consultation with Dr. Prischmann

Dr. Prischmann can answer all of your questions and address any concerns you may have during an initial consultation to discuss your goals. If you would like more information on eyelid surgery, please contact us today.